| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.02 | $40.13 | $243.99 | |
Aetna
| Professional | $32.50 | $39.31 | $53.14 | |
BCBS
| Facility | $316.74 | $316.74 | $338.50 | |
BCBS
| Professional | $51.45 | $85.00 | $117.00 | |
Cigna
| Facility | $93.50 | $126.74 | $310.14 | |
Cigna
| Professional | $23.38 | $32.74 | $168.52 | |
Medcost
| Facility | $40.13 | $51.45 | $88.49 | |
Molina
| Professional | $28.30 | $28.30 | $28.30 | |
United
| Professional | $21.61 | $29.35 | $51.45 |